Ropowica przestrzeni przygardłowej

Czecior, Eugeniusz; Pawlas, Piotr; Ścierski, Wojciech; Namysłowski, Grzegorz; Misiołek, Maciej; Turecka, Lucyna; Lisowska, Grażyna; Polok, Aleksandra; Sowa, Paweł

doi:10.1016/s0030-6657(08)70299-3

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…The first-line diagnostic tool for parotid gland diseases is ultrasonography as it is easily available and gives good radiological insight into differential diagnosis (8). However, if severe complications of acute bacterial parotitis are suspected, particularly parapharyngeal space and extended neck phlegmon, or mediastinitis, CT scan of neck and/or thorax with contrast should be immediately performed (2,8,9,10,11,12). The management of parotid gland abscess includes broad-spectrum antibiotic therapy, and surgical drainage, which is mandatory in patients who also develop neck phlegmon (2,4,10,12,13).…”

Section: Discussionmentioning

confidence: 99%

“…However, if severe complications of acute bacterial parotitis are suspected, particularly parapharyngeal space and extended neck phlegmon, or mediastinitis, CT scan of neck and/or thorax with contrast should be immediately performed (2,8,9,10,11,12). The management of parotid gland abscess includes broad-spectrum antibiotic therapy, and surgical drainage, which is mandatory in patients who also develop neck phlegmon (2,4,10,12,13). Due to various medical problems with which the patients with neck phlegmon are struggling which can also include mediastinitis and sepsis, it is crucial to underline the necessity of complex medical assessment of the patient's general condition and medical therapy, especially incuding the hydro-electrolyte imbalance management.…”

Section: Discussionmentioning

confidence: 99%

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Craniofacial and neck phlegmon with sepsis as a complication of the parotid gland abscess – a case report

Ryczer

Męczkowska

Niedzielski

2019

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The diagnosis of acute bacterial parotitis usually does not cause much clinical concern due to the characteristic clinical signs and symptoms, such as pain and swelling of parotid gland associated with fever and elevated inflammatory markers in laboratory tests. Early diagnosis and accurate treatment result in fast recovery without complications. In rare cases, acute bacterial parotitis may cause severe complications, such as parotid gland abscess or parapharyngeal space phlegmon. Parapharyngeal space phlegmon is a severe, life-threatening condition. It can spread to craniofacial and neck fascial spaces, mediastinum, and lead to sepsis and septic shock. Craniofacial and neck phlegmon requires prompt surgical treatment and intensive antibiotic therapy. In this case study, we present an 82-year-old woman with bacterial parotitis that resulted in multiple complications. The first complication was parotid gland abscess, which caused extended craniofacial and neck phlegmon that led to sepsis. As a result of immediate intensive treatment, which consisted of broad-spectrum antibiotic therapy, surgical drainage, and hydro-electrolyte imbalance management, the treatment ended in a success. The patient fully recovered and was discharged home in a good general condition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Craniofacial and neck phlegmon with sepsis as a complication of the parotid gland abscess – a case report

Ryczer

Męczkowska

Niedzielski

2019

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The perils of paint-balling

McKay-Davies

Tweedie²,

Pitkin³

2011

Case Reports

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BACKGROUNDDelayed cervical haematoma abscess formation following neck hyperextension is rare, particularly in patients without identifi able risk factors. We present such a case, and discuss the key features of diagnosis and management. CASE PRESENTATIONWhile paint-balling a 15-year-old boy was shot on the front of his face guard causing him to hyperextend his neck. Over a period of 6 days he developed neck stiffness, fever and a progressively enlarging painful swelling in the region of his left upper sternocleidomastoid muscle. These features were not consistent with a simple musculoskeletal sprain.

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Unusual case of medullary thyroid cancer

Leszczyński

Majszyk

2021

Pol Otorhino Rev

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Medullary thyroid carcinomas make up 9,4% of all cancers of the thyroid gland [1]. We can divide them into sporadic and familial form. Sporadic forms are most common. The rest of medullary thyroid carcinomas are familial forms which in most cases are associated with MEN2a and MEN2b syndromes. If neoplasm is associated with MEN2a or MEN2b syndromes, other tumors can occur: pheochromocytoma or adenomas of parathyroids glands. Medullary thyroid carcinoma typically occurs as a solid tumor in the thyroid region of the neck. It can produce also: pain in thyroid region, dysphagia, hoarseness, cervical lymphadenopathy. These symptoms are caused by infiltration of adjacent tissues by neoplasm and by metastases to cervical lymph nodes. It is very rare that there is no tumor in the thyroid region, when a patient complains about signs associated with infiltration of the tumor, but in some cases lymphadenopathy can be the first sign of medullary thyroid carcinoma [2]. Rarer than that there is no tumor in thyroid gland visualized in CT scans when there are signs of cervical lymphadenopathy. In this case report we present the patient with metastases of the medullary thyroid carcinoma to the neck and no other findings in physical examination and additional testing.

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Ropowica przestrzeni przygardłowej

Cited by 3 publications

References 7 publications

Craniofacial and neck phlegmon with sepsis as a complication of the parotid gland abscess – a case report

Craniofacial and neck phlegmon with sepsis as a complication of the parotid gland abscess – a case report

The perils of paint-balling

Unusual case of medullary thyroid cancer

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